[Presternal ileum and right colon for benign esophageal stenosis. Very long-term checking]

Long-term follow up results are analyzed of 10 patients treated by pre-sternal right ileocolic grafts for an esophageal stenosis of a benign nature. Operation in 7 cases had been performed 28 (1 case), 26 (2 cases), 19 (1 case), 16 (1 case), 11 (1 case) and 6 (1 case) years previously. Functional results were generally very satisfactory. Two cologastric anastomotic ulcers were heated by coloduodenal and colojejunal reimplantation respectively. One patient operated upon for stenosis due to chemicals developed malpighian cancer of the cervical esophago-ileal anastomosis 12 years later, but secondary malnutrition did not occur following a gastric bypass operation. Although overall functional results could be considered as very satisfactory, there is a risk of anastomotic cologastric ulcers developing (2 cases), but the risk can be eliminated by routine implantation of colon into duodenum or jejunum. The gastric bypass achieved failed to produce any clinical manifestations in patients operated upon, some of whom have been followed up for nearly 30 years.